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Collagens in the progression and complications of atherosclerosis

2009; SAGE Publishing; Volume: 14; Issue: 1 Linguagem: Inglês

10.1177/1358863x08094801

1477-0377

Eser Adiguzel, Pamela J. Ahmad, Christopher Franco, Michelle P. Bendeck,

Blood Coagulation and Thrombosis Mechanisms

Abstract Collagens constitute a major portion of the extracellular matrix in the atherosclerotic plaque, where they contribute to the strength and integrity of the fibrous cap, and also modulate cellular responses via specific receptors and signaling pathways. This review focuses on the diverse roles that collagens play in atherosclerosis; regulating the infiltration and differentiation of smooth muscle cells and macrophages; controlling matrix remodeling through feedback signaling to proteinases; and influencing the development of atherosclerotic complications such as plaque rupture, aneurysm formation and calcification. Expanding our understanding of the pathways involved in cell–matrix interactions will provide new therapeutic targets and strategies for the diagnosis and treatment of atherosclerosis.